Global actions, including those of UNAIDS and its Cosponsors, have not yet reached a level
sufficient to address the current catastrophe of HIV among men who have sex with men and
transgender people. However, if global and national resources are strategically targeted and
institutionally supported, HIV interventions can be brought to a scale that is sufficient to reduce
the incidence and impact of HIV infections.
Some of the HIV programmes for men who have sex with men and transgender people
undertaken by the UNAIDS Secretariat and Cosponsors have been coordinated at the global,
regional and country levels; this should continue and be improved, where necessary20. At the
same time, it is essential to emphasize that the overwhelming priority is increased action;
there is not enough happening at the moment to create significant coordination burdens. Any
constraints in terms of policy, planning and resources will need to be addressed before UNAIDS
and its Cosponsors can achieve an enhanced response. Addressing political will, leadership and
commitment with regard to men who have sex with men, transgender people and HIV will be a
key factor in creating and scaling-up a more effective collective response.
Within this framework we propose three immediate objectives, each of which is followed by a
number of priority actions. More detailed objectives and activities for a joint UNAIDS strategy
on these issues will be developed, as will detailed organizational strategies and plans, as required.
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